| Doctor Name: | DR. LARRY ERNEST PORZSOLT |
| NPI Number: | 1881737617 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DO |
| License Number: | LP005934 |
| Business Practice Address: | 300 W Main St Stockbridge, MI - 492850217 |
| Business Phone Number: | 5178517255 |
| Business Fax Number: | 5178514397 |
| Mailing Address: | Po Box 217, STOCKBRIDGE |
| State: | MI |
| Postal Code: | 492850217 |
| Phone Number: | 5178517255 |
| Fax Number: | 5178514397 |
| NPI Enumeration Date: | 02/14/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | LP005934 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |